FORM 1023-EZ for PUTNAM COUNTY KIDS COUNT INC

Field Data
EIN 45-1847964
Case Number EO-2014246-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUTNAM COUNTY KIDS COUNT INC
Organization’s Mailing Address 25 JEFFERSON VALLEY
City COATESVILLE
State IN
ZIP 46121
Accounting period End 12
Primary contact name CYNTHIA JEAN ANN HUDDLESTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTIN MCCLELLAN
VICE PRESIDENT
159 MILL SPRINGS
COATESVILLE IN 46121

Officer/Director/Trustee Two

CYNTHIA JEAN ANN HUDDLESTON
PRESIDENT
25 JEFFERSON VALLEY
COATESVILLE IN 46121

Officer/Director/Trustee Three

CHARLIE BEARD
SECRETARY
12 GETTYSBURG
COATESVILLE IN 46121

Officer/Director/Trustee Four

CAROL BOCKELMAN
TREASURER
7564 NOEL ROAD
INDIANAPOLIS IN 46278

Organization’s website WWW.PUTNAMKIDSCOUNT.WEBS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2011
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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